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Iron deficiency anemia  causing blue skin under the eyes. If there is a shortage of iron in the body, oxygen cannot be properly transported by the blood. Hemoglobin is the oxygen transporting component in the blood, moving oxygen from the lungs to the cells where it is released for normal cell metabolism.
Signs You May Have an Iron Deficiency. There's a reason the words pale and sickly are often used interchangeably. Hemoglobin gives your blood its red color and, thus, your skin its rosy hue. That means that low levels of the protein can suck the color straight from your skin, Dr. Moritz says.